19 down
Pasta
with
American
beans
(7)
Pasta with American beans (7)
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The whole clue is the definition (& lit or double definition).
How the clue works
The definition is Pasta, since noodles are exactly that. Beans is doing double duty as a second definition — both "bean" and "noodle" are slang for your head, with "with American" just there to dress up the surface and throw you off the scent.